Individual
ALICIA ANNE GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16647 CRESCENT CREEK DR, SAN DIEGO, CA 92127-7059
(858) 722-0213
Mailing address
16647 CRESCENT CREEK DR, SAN DIEGO, CA 92127-7059
(858) 722-0213
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
085008768
IL
363AM0700X
Medical Physician Assistant
Primary
65607
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/29/2021
Last updated
04/14/2025
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